| Josh Cochran 8382 Pllc | |
|
8382 N Wayne Dr Hayden ID 83835-6028 | |
| (509) 475-1362 | |
| Not Available |
| Full Name | Josh Cochran 8382 Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8382 N Wayne Dr, Hayden, Idaho |
| Authorized Official Name and Position | Joshua River Cochran (OWNER) |
| Authorized Official Contact | 2067556436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Josh Cochran 8382 Pllc 13514 E 32nd Ave Spokane Valley WA 99216-6002 Ph: () - | Josh Cochran 8382 Pllc 8382 N Wayne Dr Hayden ID 83835-6028 Ph: (509) 475-1362 |
| NPI Number | 1366116006 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 08/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366116006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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